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In this post, we’re diving deep into Child Health Nursing Unit 2 – “The Healthy Child”, an essential topic for BSc Nursing, GNM, and competitive nursing exams.
Alright 👍 Now we’ll continue with Part 2 MCQs 201–300.
In this post, we’re diving deep into Child Health Nursing Unit 2 – “The Healthy Child”, an essential topic for BSc Nursing, GNM, and competitive nursing exams.
Alright 👍 Now we’ll continue with Part 2 MCQs 201–300.
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| Free NORCET Exams Preparation Series - Child Health Nursing Unit-2 MCQs Practice |
Preparing for nursing exams becomes easier when concepts are broken down into simple, exam-oriented points. If you’re a BSc Nursing, GNM, or competitive nursing exam aspirant, this post will help you master a high-yield topic from Child Health Nursing—Unit 2: The Healthy Child.
This section focuses on the most important area students often struggle with:
Part-3 (A)
- Baby Friendly Hospital Concept (BFHI)
- Play: types, value, and selection of play material
Part-3 (B)
- Section I – Growth & Development Principles
- Section II – Factors Affecting Growth
- Section III – Growth & Development Milestones
- Section IV – Developmental Theories
To make things simple, I have added 100 MCQs (201–300) with accurate answers and short explanations—designed to strengthen your understanding as well as your exam score.
These MCQs are based on:
Latest exam trends
Updated child health guidelines
Standard nursing books (Marilyn Hockenberry, Ashwill, Potter & Perry, etc.)
WHO recommendations
Let’s dive into the most scoring section of Unit 2.
Part 3 (A): MCQs 201–250
Section I – Baby Friendly Hospital Concept (BFHI)
Q201. The Baby Friendly Hospital Initiative (BFHI) was launched by:
a) UNICEF & WHO
b) ICMR
c) American Academy of Pediatrics
d) NNF (India)
✅ Answer: a) UNICEF & WHO
👉 Explanation: BFHI was launched in 1991 by WHO & UNICEF to promote breastfeeding.
Q202. The BFHI promotes:
a) Artificial feeding
b) Bottle feeding
c) Exclusive breastfeeding
d) Early weaning
✅ Answer: c) Exclusive breastfeeding
Q203. How many steps are there in BFHI?
a) 5
b) 7
c) 10
d) 12
✅ Answer: c) 10
👉 Explanation: BFHI is based on 10 steps to successful breastfeeding.
Q204. Step 1 of BFHI is:
a) Early initiation of breastfeeding
b) Having a written breastfeeding policy
c) Avoiding bottle feeding
d) Practicing rooming-in
✅ Answer: b) Having a written breastfeeding policy
Q205. Step 4 of BFHI recommends:
a) Initiate breastfeeding within 1 hour of birth
b) Give artificial milk only
c) Keep baby in nursery
d) Provide pacifier
✅ Answer: a) Initiate breastfeeding within 1 hour of birth
Q206. Which practice is discouraged under BFHI?
a) Rooming-in
b) Pre-lacteal feeds
c) Skin-to-skin contact
d) Demand feeding
✅ Answer: b) Pre-lacteal feeds
Q207. Rooming-in under BFHI means:
a) Keeping mother and baby together 24 hrs/day
b) Keeping baby in nursery
c) Keeping baby with nurse
d) Baby staying in NICU always
✅ Answer: a) Keeping mother and baby together 24 hrs/day
Q208. BFHI discourages distribution of:
a) Pacifiers
b) Artificial milk samples
c) Feeding bottles
d) All of the above
✅ Answer: d) All of the above
Q209. Which step of BFHI involves training all healthcare staff?
a) Step 2
b) Step 4
c) Step 6
d) Step 8
✅ Answer: a) Step 2
👉 Explanation: Step 2 = Train healthcare staff in skills necessary to implement policy.
Q210. Step 9 of BFHI recommends:
a) Give no artificial teats or pacifiers to breastfeeding infants
b) Use formula freely
c) Keep mother and baby apart
d) Avoid early breastfeeding
✅ Answer: a) Give no artificial teats or pacifiers
Q211. Which hospital is certified as "Baby Friendly"?
a) Hospitals promoting formula feeding
b) Hospitals fulfilling 10 steps of BFHI
c) Hospitals with NICU only
d) Hospitals with playrooms
✅ Answer: b) Hospitals fulfilling 10 steps of BFHI
Q212. The BFHI is especially important in:
a) Developed countries
b) Developing countries
c) Both equally
d) Only rural areas
✅ Answer: b) Developing countries
👉 Explanation: To reduce infant morbidity & mortality due to malnutrition and infections.
Q213. Exclusive breastfeeding under BFHI should last for:
a) 3 months
b) 4 months
c) 6 months
d) 12 months
✅ Answer: c) 6 months
Q214. Baby friendly hospitals must not accept:
a) Free or low-cost supplies of infant formula
b) Exclusive breastfeeding
c) Rooming-in
d) Mother counseling
✅ Answer: a) Free or low-cost supplies of infant formula
Q215. Which one is NOT a principle of BFHI?
a) Demand feeding
b) Pre-lacteal feeds
c) No bottle feeding
d) Rooming-in
✅ Answer: b) Pre-lacteal feeds
Section II – Types of Play
Q216. Which is the primary type of play in infants (0–1 year)?
a) Symbolic play
b) Solitary play
c) Associative play
d) Cooperative play
✅ Answer: b) Solitary play
Q217. Toddlers (1–3 years) mainly engage in:
a) Cooperative play
b) Parallel play
c) Competitive play
d) Role play
✅ Answer: b) Parallel play
Q218. Preschool children (3–6 years) usually engage in:
a) Onlooker play
b) Associative play
c) Solitary play
d) Passive play
✅ Answer: b) Associative play
Q219. School-age children (6–12 years) mainly prefer:
a) Cooperative play (team games)
b) Parallel play
c) Solitary play
d) Imitative play
✅ Answer: a) Cooperative play
Q220. Adolescents prefer:
a) Competitive games, group activities, intellectual play
b) Solitary play
c) Onlooker play
d) Simple rattle
✅ Answer: a) Competitive games, group activities, intellectual play
Section III – Value of Play
Q221. Play is important because it:
a) Is just for fun
b) Promotes physical, mental, emotional & social growth
c) Wastes energy
d) Distracts from academics
✅ Answer: b) Promotes physical, mental, emotional & social growth
Q222. Play helps a hospitalized child by:
a) Increasing stress
b) Reducing fear and anxiety
c) Avoiding treatment
d) Isolating the child
✅ Answer: b) Reducing fear and anxiety
Q223. Play therapy is useful especially in:
a) Adults only
b) Children with chronic illness or hospitalization
c) Elderly
d) All
✅ Answer: b) Children with chronic illness or hospitalization
Q224. Which developmental domain is best enhanced by play?
a) Cognitive
b) Motor
c) Social-emotional
d) All of the above
✅ Answer: d) All of the above
Q225. The best way to prepare a child for surgery is:
a) By punishment
b) By play with dolls and role play
c) By scolding
d) By giving sedatives
✅ Answer: b) By play with dolls and role play
Q226. Value of play in infancy is mainly:
a) Sensory stimulation & motor development
b) Intellectual growth only
c) Social interaction only
d) None
✅ Answer: a) Sensory stimulation & motor development
Q227. For toddlers, play is valuable mainly for:
a) Gaining independence, developing language & motor skills
b) Preparing for exams
c) Practicing surgery
d) Sleeping
✅ Answer: a) Gaining independence, language & motor skills
Q228. Play helps school-age children in:
a) Teamwork, competition, rules
b) Developing stranger anxiety
c) Night terrors
d) Avoiding physical growth
✅ Answer: a) Teamwork, competition, rules
Q229. The therapeutic value of play in hospital is:
a) Expressing emotions & coping with illness
b) Preventing bonding
c) Reducing parent-child attachment
d) Increasing anxiety
✅ Answer: a) Expressing emotions & coping with illness
Q230. Play contributes to personality development by:
a) Developing confidence & creativity
b) Reducing learning
c) Causing laziness
d) Promoting selfishness
✅ Answer: a) Developing confidence & creativity
Section IV – Selection of Play Materials
Q231. Selection of play material should be based on:
a) Child’s age, interest & safety
b) Cost only
c) Availability only
d) Parent’s choice only
✅ Answer: a) Child’s age, interest & safety
Q232. Appropriate toy for a 6-month-old infant:
a) Rattle, soft colorful toys
b) Marbles
c) Scissors
d) Small coins
✅ Answer: a) Rattle, soft colorful toys
Q233. Toy suitable for toddler (2 years):
a) Building blocks
b) Chess
c) Mobile phones
d) Needle & thread
✅ Answer: a) Building blocks
Q234. Toy best for preschool child (4 years):
a) Doctor set, kitchen set, role play items
b) Crossword puzzle
c) Bicycle racing
d) Laptops
✅ Answer: a) Role play items
Q235. Toy best for school-age child (9 years):
a) Puzzles, board games, skipping rope, cricket
b) Teething ring
c) Rattle
d) Pacifier
✅ Answer: a) Puzzles, board games, cricket
Q236. Toys suitable for adolescents:
a) Competitive sports, music instruments, computers
b) Rattle
c) Dolls only
d) Blocks only
✅ Answer: a) Competitive sports, music instruments, computers
Q237. Unsafe toys for infants include:
a) Toys with small detachable parts
b) Non-toxic, soft toys
c) Large rattles
d) Cloth dolls
✅ Answer: a) Toys with small detachable parts
👉 Explanation: Risk of choking.
Q238. Best play activity for a hospitalized toddler:
a) Blowing bubbles, push-pull toys
b) Reading novels
c) Competitive sports
d) Puzzles with many small pieces
✅ Answer: a) Blowing bubbles, push-pull toys
Q239. Play materials for preschoolers should encourage:
a) Imagination & role play
b) Only fine motor skills
c) Only passive watching TV
d) Only academics
✅ Answer: a) Imagination & role play
Q240. For adolescents, play activities should promote:
a) Socialization, physical fitness & creative skills
b) Only solitary play
c) Only academic reading
d) Only screen time
✅ Answer: a) Socialization, physical fitness & creative skills
Section V – Clinical Scenarios & Case-based Play
Q241. A 5-year-old in hospital fears injections. Nurse should use:
a) Role play with doll injection
b) Ignore child’s fear
c) Force procedure without explanation
d) Delay treatment
✅ Answer: a) Role play with doll injection
Q242. A 2-year-old in ward is crying continuously. Best intervention:
a) Provide a favorite toy
b) Ignore child
c) Isolate child
d) Punish child
✅ Answer: a) Provide a favorite toy
Q243. Play therapy is most useful in:
a) Autism & hospitalized children
b) Adults
c) Elderly
d) All
✅ Answer: a) Autism & hospitalized children
Q244. A 10-year-old child recovering from fracture should be encouraged in:
a) Board games, drawing
b) Running race
c) Weight lifting
d) Cycling
✅ Answer: a) Board games, drawing
Q245. Hospital playrooms are designed to:
a) Provide recreation & therapy
b) Isolate children
c) Restrict play
d) Avoid interaction
✅ Answer: a) Provide recreation & therapy
Q246. While selecting toys for toddlers, the most important factor is:
a) Safety (non-toxic, unbreakable, large size)
b) Expensive brands
c) Parents’ status
d) TV advertisements
✅ Answer: a) Safety
Q247. The best way to reduce preoperative anxiety in children:
a) Play therapy
b) Sedation only
c) Punishment
d) Ignoring fear
✅ Answer: a) Play therapy
Q248. Play therapy in psychiatry is mainly useful for:
a) Children who cannot express emotions verbally
b) Adults with depression
c) Elderly with dementia
d) None
✅ Answer: a) Children who cannot express emotions verbally
Q249. A 3-year-old child prefers playing alongside other children without direct interaction. This is:
a) Solitary play
b) Parallel play
c) Associative play
d) Cooperative play
✅ Answer: b) Parallel play
Q250. Importance of play in child health nursing is:
a) Tool for growth, development, therapy & assessment
b) Just for passing time
c) Only for entertainment
d) Irrelevant
✅ Answer: a) Tool for growth, development, therapy & assessment
Part 3 (B): MCQs 251–300
Section I – Growth & Development Principles
Q251. Growth refers to:
a) Increase in cell number & size (quantitative change)
b) Functional maturity (qualitative change)
c) Both a & b
d) Neither
✅ Answer: a) Increase in cell number & size
👉 Explanation: Growth = physical increase, Development = functional maturation.
Q252. Development proceeds in which pattern?
a) Cephalocaudal and proximodistal
b) Random
c) Distal to proximal only
d) None
✅ Answer: a) Cephalocaudal and proximodistal
Q253. Which is a principle of growth & development?
a) Predictable pattern but variable rate
b) Always uniform in all children
c) Only determined by heredity
d) No sequence
✅ Answer: a) Predictable pattern but variable rate
Q254. Development is mainly influenced by:
a) Heredity only
b) Environment only
c) Both heredity & environment
d) Nutrition alone
✅ Answer: c) Both heredity & environment
Q255. A child first learns to control:
a) Legs → Arms → Head
b) Head → Arms → Trunk → Legs
c) Fingers → Arms → Head
d) None
✅ Answer: b) Head → Arms → Trunk → Legs (Cephalocaudal principle)
Section II – Factors Affecting Growth
Q256. Most important factor affecting growth:
a) Nutrition
b) Family income
c) Weather
d) Toys
✅ Answer: a) Nutrition
Q257. Endocrine factor that most influences growth:
a) Growth hormone
b) Thyroxine
c) Insulin
d) All of the above
✅ Answer: d) All of the above
Q258. A child with congenital hypothyroidism shows:
a) Growth retardation & delayed milestones
b) Tall stature
c) Accelerated growth
d) No effect
✅ Answer: a) Growth retardation & delayed milestones
Q259. Socioeconomic status influences growth mainly via:
a) Nutrition & healthcare access
b) Toys
c) Parent’s height
d) None
✅ Answer: a) Nutrition & healthcare access
Q260. Emotional deprivation in children leads to:
a) Failure to thrive
b) Accelerated growth
c) Early puberty
d) Increased immunity
✅ Answer: a) Failure to thrive
Section III – Growth & Development Milestones
Q261. A 6-month-old child typically:
a) Sits without support
b) Rolls over both ways
c) Walks with support
d) Says 2–3 words
✅ Answer: b) Rolls over both ways
Q262. Pincer grasp is achieved at:
a) 6 months
b) 9 months
c) 12 months
d) 18 months
✅ Answer: c) 12 months
Q263. A 2-year-old child can:
a) Climb stairs with 2 feet on each step
b) Ride bicycle
c) Skip
d) Write alphabets
✅ Answer: a) Climb stairs with 2 feet on each step
Q264. A 5-year-old typically:
a) Copies a triangle
b) Says 1–2 words
c) Rolls over
d) Uses pincer grasp
✅ Answer: a) Copies a triangle
Q265. Puberty in girls usually starts with:
a) Menarche
b) Breast budding (thelarche)
c) Pubic hair
d) Axillary hair
✅ Answer: b) Breast budding (thelarche)
Section IV – Developmental Theories
Q266. Freud’s psychosexual stage for a 3-year-old is:
a) Oral
b) Anal
c) Phallic
d) Latency
✅ Answer: b) Anal (1–3 yrs)
Q267. Erikson’s stage for school-age children:
a) Initiative vs guilt
b) Industry vs inferiority
c) Identity vs role confusion
d) Autonomy vs shame
✅ Answer: b) Industry vs inferiority
Q268. Piaget’s stage at 7 years:
a) Sensorimotor
b) Preoperational
c) Concrete operational
d) Formal operational
✅ Answer: c) Concrete operational
Q269. Kohlberg’s stage for a 10-year-old child:
a) Obedience & punishment orientation
b) Interpersonal relationships orientation
c) Universal ethical principles
d) None
✅ Answer: b) Interpersonal relationships orientation
Q270. A toddler refusing to share toys is best explained by:
a) Egocentrism (Piaget)
b) Regression
c) Latency period
d) Super-ego dominance
✅ Answer: a) Egocentrism
Section V – Needs of Normal Children
Q271. Infants mainly need:
a) Security & nutrition
b) Independence
c) Academic learning
d) Career guidance
✅ Answer: a) Security & nutrition
Q272. Toddlers require:
a) Autonomy & independence
b) Identity search
c) Sexual maturity
d) None
✅ Answer: a) Autonomy & independence
Q273. Preschool children need opportunities for:
a) Initiative & imagination
b) Academic success only
c) Rebellion
d) None
✅ Answer: a) Initiative & imagination
Q274. Adolescents mainly need:
a) Identity, peer acceptance & independence
b) Only toys
c) Total parental control
d) Solitary play only
✅ Answer: a) Identity, peer acceptance & independence
Q275. Parental guidance for adolescents includes:
a) Open communication & support
b) Strict authoritarian control
c) Ignoring child’s emotions
d) Overprotection
✅ Answer: a) Open communication & support
Section VI – Nutrition & Feeding
Q276. Best source of infant nutrition:
a) Breast milk
b) Formula
c) Cow’s milk
d) Soy milk
✅ Answer: a) Breast milk
Q277. Exclusive breastfeeding is recommended up to:
a) 3 months
b) 4 months
c) 6 months
d) 12 months
✅ Answer: c) 6 months
Q278. Colostrum is rich in:
a) IgA & protein
b) Fat only
c) Iron only
d) Water only
✅ Answer: a) IgA & protein
Q279. Weaning should begin at:
a) Birth
b) 6 months
c) 1 year
d) 2 years
✅ Answer: b) 6 months
Q280. A mother insists on cow’s milk for her 3-month-old infant. The nurse explains risk of:
a) Iron deficiency anemia & allergies
b) Rapid growth
c) Obesity
d) None
✅ Answer: a) Iron deficiency anemia & allergies
Section VII – BFHI & Hospital Concept
Q281. BFHI discourages:
a) Bottle feeding
b) Free formula supply
c) Pacifier use
d) All of the above
✅ Answer: d) All of the above
Q282. Step 4 of BFHI emphasizes:
a) Initiating breastfeeding within 1 hour of birth
b) Artificial milk distribution
c) Giving pacifiers
d) Early separation
✅ Answer: a) Initiating breastfeeding within 1 hour of birth
Q283. A nurse teaches rooming-in. This means:
a) Mother & baby stay together 24 hrs/day
b) Baby kept in nursery
c) Only nurses feed baby
d) None
✅ Answer: a) Mother & baby stay together
Q284. BFHI was launched in:
a) 1981
b) 1991
c) 2001
d) 2011
✅ Answer: b) 1991
Q285. Main goal of BFHI:
a) Promote breastfeeding & child survival
b) Reduce staff burden
c) Increase formula sales
d) Reduce hospital stay
✅ Answer: a) Promote breastfeeding & child survival
Section VIII – Play & Therapeutic Value
Q286. Play of a 9-month-old infant is mainly:
a) Peek-a-boo, rattles
b) Board games
c) Group competition
d) Role play
✅ Answer: a) Peek-a-boo, rattles
Q287. Toddler’s play is described as:
a) Parallel play
b) Cooperative play
c) Associative play
d) Intellectual play
✅ Answer: a) Parallel play
Q288. Play therapy in hospital reduces:
a) Anxiety & fear
b) Learning ability
c) Parental bonding
d) Social interaction
✅ Answer: a) Anxiety & fear
Q289. Play material for a 2-year-old:
a) Push-pull toys, building blocks
b) Chess
c) Football team games
d) Computer
✅ Answer: a) Push-pull toys, building blocks
Q290. School-age play is:
a) Cooperative play (games with rules)
b) Solitary play
c) Parallel play
d) Onlooker play
✅ Answer: a) Cooperative play
Q291. A 5-year-old child preparing for injection is best supported by:
a) Demonstrating with a doll
b) Forcing without explanation
c) Avoiding child’s fear
d) Sedation only
✅ Answer: a) Demonstrating with a doll
Q292. Play is valuable for:
a) Physical, mental, social & emotional development
b) Only entertainment
c) Only academics
d) None
✅ Answer: a) Physical, mental, social & emotional development
Q293. Best hospital play for bedridden school-age child:
a) Board games, drawing
b) Running race
c) Football
d) Cycling
✅ Answer: a) Board games, drawing
Q294. Unsafe toys for infants:
a) Toys with small detachable parts
b) Soft, non-toxic toys
c) Cloth dolls
d) Large rattles
✅ Answer: a) Toys with small detachable parts
Q295. Play therapy is most useful in:
a) Hospitalized children with anxiety
b) Adults with diabetes
c) Elderly
d) None
✅ Answer: a) Hospitalized children with anxiety
Section IX – Clinical Case-Based
Q296. A 14-year-old girl has delayed puberty. Likely hormone deficiency:
a) Estrogen
b) Growth hormone
c) Insulin
d) Cortisol
✅ Answer: a) Estrogen
Q297. A 1-year-old is brought with failure to thrive. Most likely cause:
a) Malnutrition
b) Normal variation
c) Early puberty
d) Tall stature
✅ Answer: a) Malnutrition
Q298. A 7-year-old child is unable to make friends, feels inferior. According to Erikson:
a) Industry vs inferiority crisis
b) Initiative vs guilt
c) Identity vs role confusion
d) Autonomy vs shame
✅ Answer: a) Industry vs inferiority crisis
Q299. A 3-year-old resists toilet training and says "No" frequently. Erikson stage:
a) Autonomy vs shame and doubt
b) Initiative vs guilt
c) Industry vs inferiority
d) Identity vs role confusion
✅ Answer: a) Autonomy vs shame and doubt
Q300. A mother asks why play is important for her 4-year-old. Best nursing response:
a) “Play enhances growth, learning & coping with emotions.”
b) “Play is just entertainment.”
c) “Play wastes energy.”
d) “Play is not necessary for development.”
✅ Answer: a) “Play enhances growth, learning & coping with emotions.”
a) Estrogen
b) Growth hormone
c) Insulin
d) Cortisol
✅ Answer: a) Estrogen
Q297. A 1-year-old is brought with failure to thrive. Most likely cause:
a) Malnutrition
b) Normal variation
c) Early puberty
d) Tall stature
✅ Answer: a) Malnutrition
Q298. A 7-year-old child is unable to make friends, feels inferior. According to Erikson:
a) Industry vs inferiority crisis
b) Initiative vs guilt
c) Identity vs role confusion
d) Autonomy vs shame
✅ Answer: a) Industry vs inferiority crisis
Q299. A 3-year-old resists toilet training and says "No" frequently. Erikson stage:
a) Autonomy vs shame and doubt
b) Initiative vs guilt
c) Industry vs inferiority
d) Identity vs role confusion
✅ Answer: a) Autonomy vs shame and doubt
Q300. A mother asks why play is important for her 4-year-old. Best nursing response:
a) “Play enhances growth, learning & coping with emotions.”
b) “Play is just entertainment.”
c) “Play wastes energy.”
d) “Play is not necessary for development.”
✅ Answer: a) “Play enhances growth, learning & coping with emotions.”
More MCQs Practice
✅ Conclusion
Child Health Nursing Unit 2 becomes easy once you understand the developmental needs of children across age groups. These 100 MCQs (201–300) cover everything from infancy to adolescence, ensuring you get exam-ready in one place. Make sure to revise them twice and note down areas where you make repeated mistakes.
Remember—mastering child health is not just for exams, but for real-world nursing practice where understanding a child’s growth, nutrition, emotions, and needs can actually save lives.
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